CN-2010-00275_0001 (2).tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402)426- 4191 -Phone
���° (402) 426 -4195 - FAX
CN- 2010 -00275 ' °anis os a ° www.blairnebraska.org
12/15/2010 bpeterse COM -NEW Commercial March 11, 2011
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LOCATION OF IMPROVEMENT: 1212 S 17th Ave, Blair, NE 68008
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ARCHITECT: L 0
GENERAL Overland Contracting, Inc,
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OWNER: An on, Ja O Revocable Trust CONTRACTOR: 587 Sigman Rd NE
3o 1460
wy Conyers, GA 30013
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B , NE 08 -0000
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NATURE OF WORK PROPOSED USE
New Construction Cell Tower
PROJECT NAME PERMIT EXPIRES 03/1012013
1212S17thAve- 101215 -Cell Tower
ESTIMATED COMPLETION DATE 2010 -12 -15
DESCRIPTION OF WORK
One 100' Cell Tower (Water Reservoir)
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
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5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Buildir� Official, shall` onstitute sufficient ground for the revocation of any permit issued which was b on the approval of this
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Signature of Applicant e